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UNDERTAKING

1. I, Engr _________________________________________________________am
owner/shareholder/partner of firm namely M/s. ______________ ________
_______ ____ registered as Consulting Engineering firm with PEC as
Consult/_______________, and valid up to 31st December, __________________.

2. I solemnly declare that following engineers are employed with my firm. Evidence of the
employment can be provided, when required by PEC:

Name PEC Designation Renewal Employed


Reg.# Card Valid Since
Upto
a.
b.
c.
d.
e.
3. Above information is given to the best of my knowledge and nothing has been concealed. I
shall be responsible, if any information given above is found incorrect and liable to
punitive action under PEC Rules and Bye-Laws.

Signature: _________________________________

Name of Engr_______________________________

PEC Reg. # _________________________________

Phone No__________________________________

Date: _____________________________________